Welcome! UCSFMC Clinical Information Systems

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1 UCSFMC Clinical Information Systems Welcome! Carolyn Bradner Jasik, MD Assistant Professor of Pediatrics Assistant Medical Director of Informatics UCSF Benioff Children s Hospital San Francisco

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3 Big Cheeses Nice, but not around much PEDS ADULT (AMB) SURGERY ADULT (IP) OB/GYN ANESTH/ PERI-OP EMER MEDICINE 3

4 UCSF Medical Center integrated Electronic Health Record APeX Advancing Patient Centered Excellence Epic is our vendor In Ambulatory practices for 3 years In Inpatient for 2 years It was a Big Bang. What does that mean? Same EHR for all sites, inpatient and ambulatory All-electronic documentation Computerized Provider Order Entry 2 exceptions: Chemotherapy and Pediatric TPN Pharmacy automation and barcoded medication and blood administration 4

5 UCSF Medical Center Integrated Electronic Health Record Also on the Desktop isite, for online viewing of radiology UCSF CareLinks: Up-to-date, PubMed, Lab manual, Pharmacy references, Pager Box, and more Personal folder ( P: drive ) for file storage CareWeb collaborative paging platform Team folder ( T: drive ) for shared materials Microsoft Office Internet Explorer 5

6 UCSF Medical Center Integrated Electronic Health Record Apex on your Phone (Haiku) or Tablet (Canto) Get it once you have logged in once In App Store or Google Play, search: Epic Haiku on iphones and all Android devices Epic Canto on ipads Setup instructions: (knowledge bank) 6

7 UCSF Medical Center Integrated Electronic Health Record UCSF Med Center Connect You can reach Apex from any Windows or Mac computer in the world connect.ucsfmedicalcenter.org Again, you have to have logged in physically at UCSF once before you can use UCSF Connect. 7

8 UCSF Medical Center Integrated Electronic Health Record Apex Training Apex Training dot UCSF Medical Center dot Org slash Providers You must complete the training before you can practice at UCSF Medical Center. 8

9 UCSF Medical Center Integrated Electronic Health Record Apex Help 24 /

10 UCSF Medical Center Integrated Electronic Health Record Getting your UCSFMC / Apex Login from a computer on the UCSF network. Providers - Find Your Username Click Here 10

11 There s a bit more to my 15 min of fame 11

12 Key EHR Take-Home Points Know who and how to ask for help Use, don t lose, the problem list Know (and love!) the EHR clinical content Customize & optimize, don t workaround Don t pick up bad habits of others You can get data for your research 12

13 Who and How to Ask for Help Call the Help Desk File a Ticket Ask your Senior or Chief Find a Super User Ask the Clinical Informatics Faculty 13

14 Use, Don t Lose, the Problem List Primary location for documenting patient medical problems Accessible in all care areas, shared by all users Must be accurate, up to date, and populated consistently to work Updated in Problem List section in the navigators vs. in your note. Assessment and Plan notes are service specific Overview is the same for services 14

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16 Know (and love!) the EHR clinical content Your clinical area has specific content Templates Smart Sets Order Sets Patient Lists Sign Out / One Liner Ask your chief which tools you should be using 16

17 One Liner 17

18 Sign Out 18

19 Customize & optimize, don t workaround Personal patient lists Custom patient list columns Chart review filters Wrenching in patient summary reports Order set defaults Preference lists Personal smartphrases Notewriter macros Care Everywhere Ambulatory Medication History 19

20 Don t Pick up Bad/Lazy Habits Clinical Documentation Copy/paste Long, redundant notes Copying student notes (not OK) Admission Incomplete Med Rec Missed allergies Problem List No principal problem Ordering Duplicating ambulatory lab orders Writing nursing comm orders vs. specific order Treatment Team Not assigning yourself No PCP specified 20

21 You can get data for your research Data In REDCap Qualtrics APeX structured data forms Data Out Integrated Data Repository (IDR) MyResearch UCReX Research Data Browser 21

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